Akademik Veri Yönetim Sistemi
VII-INTERNATIONAL EUROPEAN CONFERENCE ON INTERDISCIPLINARY SCIENTIFIC RESEARCH, Frankfurt, Almanya, 28 Mart 2023, ss.155-158
ABSTRACT
One significant consequence of acute transmural myocardial infarction(MI) is left ventricular
aneurysm (LVA). It is commonly known that patients with LVA are more likely to experience
problems such congestive heart failure, thromboembolic events, and arrhythmias. In this paper,
we describe the case of a 53-year-old diabetic man who was admitted to our cardiology
department for severe mitral valve regurgitation. He had undergone percutaneous coronary
angioplasty with stenting of the mid segments of the left anterior descending artery (LAD) for
myocardial infarction one year prior. A saccular aneurysm of the infero-lateral left ventricular
wall, significant mitral valve regurgitation, and fibrosis were all seen on transthoracic and
transesophageal echocardiography, but no thrombus reported. The ultrasound results and
observable diffuse coronary stenosis at the ending point of the LAD stent application were
verified by coronary angiography. Other coronary arteries did not show any noticeable stenosis.
The decision to do surgery was made. The patient had mechanical mitral valve replacement,
coronary artery bypass grafting of the left anterior descending artery (LAD) and ventricular
aneurysm repair. A negligible mitral regurgitation and an improvement in left ventricle ejection
fraction to 55% were observed on the postoperative echocardiographic control. The care of the
late mechanical consequence of myocardial infarction, left ventricular aneurysm, is
challenging. Surgery is generally beneficial and is followed by a noticeable increase in function,
although it comes with a high postoperative mortality rate.
Keywords: Left ventricular saccular aneurysm, myocardial infarction, mitral valve
regurgitation.